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What are the treatment options for low platelet count (ITP) since 2013?

Asked by Male, 48 ยท 2 months ago

Treatment for long-term ITP takes into account both the platelet count and the risk of bleeding. Steroids, IVIG, thrombopoietin-receptor agonists, and occasionally splenectomy are among the options. A hematologist should oversee treatment and do routine monitoring.
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  1. Overview of ITP and Its Impact

    • ITP is an immune disorder causing low platelet counts, increasing bleeding risk.
  2. First-Line Treatments

    • Corticosteroids: Prednisone to suppress immune activity.
    • IVIG: Used for rapid platelet count increase.
  3. Second-Line and Maintenance Therapies

    • Thrombopoietin Receptor Agonists: Eltrombopag, romiplostim to boost platelet production.
    • Immunosuppressive Drugs: Azathioprine, rituximab for persistent cases.
  4. Surgical Option

    • Splenectomy: Considered if medications fail.
  5. Supportive Care and Monitoring

    • Regular blood tests to monitor platelet levels.
    • Avoid medications that increase bleeding risk.
  6. Specialist Involvement

    • A hematologist should manage chronic ITP.
  7. Personalized Treatment Considerations

    • Tailor treatment based on symptoms, bleeding risk, and patient preferences.

Answered 2 months ago

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